- CVS Health (Tallahassee, FL)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Tallahassee, FL)
- …must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... internal and external constituents in the coordination and administration of the utilization /benefit management function - Gathers clinical information and… more
- CVS Health (Tallahassee, FL)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
- CVS Health (Tallahassee, FL)
- …**UM Nurse Consultant ** Fully Remote- WFH **Position Summary** + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of… more
- CVS Health (Tallahassee, FL)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...that support cost-effective quality care for members. Work in clinical telephone queue for 3 to 4 hours a… more
- CVS Health (Tallahassee, FL)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Tallahassee, FL)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... Qualifications** + Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or Nursing Diploma… more
- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zone. **Education**… more
- CVS Health (Tallahassee, FL)
- …3+ years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in… more
- CVS Health (Tallahassee, FL)
- …and unrestricted RN licensure in Florida + Must reside in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and work ... **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and...and evening hours. + Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for… more
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